Pain in the sacrum is provoked by lesions of the sacrum itself, sacroiliac joints, surrounding soft tissues, nervous structures and pelvic organs. It can be sharp, dull, pressing, aching, pulling, constant, intermittent, weak or intense. Sometimes there is a connection with the level of physical activity, the menstrual cycle and other circumstances. To determine the cause of pain in the sacrum, a survey, an objective examination, radiography, CT and other studies are carried out. Until the diagnosis is established, rest is recommended, in some cases the use of painkillers is allowed.